Scholarship Application

www.hennikerathletics.org

For a printable version of this form click here (PDF)

Instructions
1. Register your child (ren) at www.hennikerathletics.org (you will get a confirmation e-mail about registration)
2. Print out this form and fill it out completely then mail it or drop it off to

Henniker Town Hall

Henniker Athletics Scholarship

18 Depot Hill Road

Henniker, NH 03242

OR

E-mail it to ( rooksjarrodnh@gmail.com).
 

3. Scholarship must be received by the last day of sport specific registration.
4. Scholarship requests are confidential and the Henniker Athletics’ Committee Chair Person will use only the information on this application to decide if your child(ren) qualify to receive a full or partial scholarship to the specific sport program.
5.  You will be notified by e-mail when a decision has been reached regarding your scholarship request as soon as possible.

Name of Child _____________________________________________

Name of Parent/Guardian_________________________ E-mail__________________________

Home Address _________________________________________________________________

Phone (day) _____________________ (evening) __________________

Sport ______________________   Number of people in your household_________

Factors you would like us to consider (attach additional sheet(s) if necessary): _______________________________________________________________________________
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